| NPI | 1558856591 |
|---|---|
| Former Name | ANGELA M. JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7454) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6837) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-10-04 |